中国康复理论与实践2025，Vol.31Issue(3)：306-313,8.DOI:10.3969/j.issn.1006-9771.2025.03.007
吸气肌训练对脱机失败者脱机疗效的系统综述
Inspiratory muscle training for weaning outcomes in patients with weaning failure:a systematic review
摘要
Abstract
Objective To systematically evaluate the effect of inspiratory muscle training(IMT)on weaning outcomes in patients with weaning failure. Methods Literatures in Chinese and English were retrieved from databases such as PubMed,Cochrane Library,Web of Science,Embase,CNKI,VIP,Wanfang data and CBM for researches on the effect of IMT in mechanical ventila-tion weaning failure,from the inception of the databases to October 22,2024.The methodological quality of the researches was evaluated with PEDro scale,and data were extracted for a systematic review. Results Nine randomized controlled trials were included,published between 2011 and 2023,from Brazil,China,the United States,Iran and Australia,with a total of 499 patients.The scores of the PEDro scale ranged five to eight.The population included patients with prolonged weaning,difficult weaning and tracheostomy.The IMT methods included threshold load training and tapered flow resistance training.The training intensity was 30%to 80%of maximal inspiratory pressure(MIP),and some researches did not set the training intensity based on MIP.The pro-gression of intensity varied widely across researches.The intervention frequency ranged from five to 30 breaths per set,with at least one minute rest between sets,two to six sets per session,one to two sessions per day,and five to seven days per week.The duration of the intervention ranged from successful weaning,one week after weaning,extubation,or four days to eight weeks.Regarding the efficacy of the intervention,IMT was not benefi-cial for the duration of mechanical ventilation and intensive care unit(ICU)length of stay on weaning failure pa-tients.However,the effect of IMT on weaning successful rates,duration of weaning,MIP and mortality was in-consistent. Conclusion IMT can not improve the duration of mechanical ventilation and ICU length of stay for weaning failure pa-tients,and there is still debate regarding its effect on successful rate of weaning,duration of weaning,MIP and mortality.关键词
吸气肌训练/脱机失败/通气机撤除法/系统综述Key words
inspiratory muscle training/weaning failure/ventilator weaning/systematic review分类
临床医学引用本文复制引用
蔡倩,张溪,苏海荣,刘娜,黄颖,李际强,夏金根,郑德采..吸气肌训练对脱机失败者脱机疗效的系统综述[J].中国康复理论与实践,2025,31(3):306-313,8.基金项目
1.广东省中医药健康服务与产业发展研究中心项目(No.2024YBA04) （No.2024YBA04）
2.广东省中医院中医康复人才培养项目(No.01020184) （No.01020184）
3.中日友好医院"菁英计划"人才培育工程骨干项目(No.ZRJY2023-GG21) Supported by Guangdong Province Traditional Chinese Medicine Health Service and Industry Development Research Center Project(No.2024YBA04),Guangdong Provincial Hospital of Traditional Chinese Medicine Talent Training Project for Traditional Chinese Medicine Rehabilitation(No.01020184)and Japan-China Friendship Hospital"Elite Program"Talent Cultivation Project Core Project(No.ZRJY2023-GG21) （No.ZRJY2023-GG21）
